Volume 27 Number 4 Winter 2016 THEegal JOURNAL OF Nurse Consulting FORENSICS PROTECT YOUR MOST VALUABLE ASSET: The AALNC is now offering Short Term and Long Term Your ability to earn a paycheck. Disability Coverage to our members. Income Protection is available to you on a discounted basis for being an association member. Your income Receive a personalized quote online or over the phone: protection program will provide you a portion of your Go to AALNC.dimicrosite.com income in the event of a disabling accident or illness. or call 1-800-945-9719, ext. 320 If you have any questions about your application, call our Member Services department toll-free at 1-800-945-9719, any time between 7 a.m. and 7 p.m. CST, for prompt and friendly assistance. Over $1,300 in member savings on educational Education products, events and career-building benefits. Member-only rates on key professional development resources, our expanding menu of THE BEST INVESTMENT YOU on-demand webinars, the AALNC Annual Forum and online educational modules. CAN MAKE IS IN YOURSELF Certification The only legal nurse consulting 1800+ PR organization in compliance with ABNS standards that offers access to a full certification program (LNCC®) for nurse consultants. LNC Locator Attorneys and law firms use our 1800+ PROFESSIONAL MEMBERS online member directory to find and hire qualified, knowledgeable LNC professionals. Broaden your network, access a variety of educational opportunities and stay up-to-date Community on the hottest topics impacting LNCs. Member-only website features, networking events, local chapters Join AALNC Today! and social media. THEegal JOURNAL OF Nurse Consulting Volume 27 | Number 4 | Winter 2016 10 37 NORTH AMERICA’S EVOLVING THE CONTINUING ENIGMA OF SUDDEN NURSING SPECIALTY UNEXPECTED INFANT DEATH By Sheila Early, RN, BScN Thomas Andrew, MD, FCAP, FAAP 16 48 THE ROLE OF THE FORENSIC SANE DEATH INVESTIGATION IN MARYLAND NURSE IN PEDIATRIC SEXUAL ASSAULT By Bruce Goldfarb, BS By Jennifer L. Orr, BSN, RN, CLNC 21 WORKING WITH DEFENSE 02 Manuscript Review Process By Cari Caruso, RN SANE-A 03 Article Submission Guidelines 25 04 From the President FORENSIC PSYCHIATRIC NURSING 05 From the Editor AND THE LNC By Rachel Regan Boersma, Ph.D., R.N. 06 Letters to the Editor 07 Test Your Screening Skills 31 08 Legal Eagle A LEGAL NURSE CONSULTANT AS DEATH EXAMINER By Melissa Becker, RN, BA, CFN ISSN 2470-6248 | VOLUME 27 | ISSUE 4 | WINTER 2016 | 1 | PURPOSE American Association of The purpose of The Journal is to promote legal nurse consulting within the medicallegal community; Legal Nurse Consultants to provide novice and experienced legal nurse consultants (LNCs) with a quality professional 330 North Wabash Ave. publication; and to teach and inform LNCs about clinical practice, current legal issues, and Suite 2000 professional development. Chicago, IL 60611 877/402-2562 312/321-5177 MANUSCRIPT SUBMISSION Fax: 312/673-6655 E-mail: [email protected] The Journal accepts original articles, case studies, letters, and research. Query letters are welcomed Web site: www.aalnc.org but not required. Material must be original and never published before. A manuscript should be submitted with the understanding that it is not being sent to any other journal simultaneously. BOARD OF DIRECTORS Manuscripts should be addressed to [email protected]. Please see the next page for Information for President Authors before submitting. Susan Carleo, RN CAPA LNCC President-Elect MANUSCRIPT REVIEW PROCESS Debbie Pritts, RN LNCC We send all submissions blinded to peer reviewers and return their blinded suggestions to the Past President author. The final version may have minor editing for form and authors will have final approval before Varsha Desai, BSN RN CNLCP LNCC publication. Acceptance is based on the quality of the material and its importance to the audience. Secretary/Treasurer Kim Beladi, RN BSN LNCC The Journal of Legal Nurse Consulting is the official publication of the American Association of Directors at Large Legal Nurse Consultants (AALNC) and is a refereed journal. Journal articles express the authors’ Elizabeth Murray, BSN RN LNCC views only and are not necessarily the official policy of AALNC or the editors of the journal. The Laura Nissim, RN MS CNS LNCC Jennifer Phillips, BSN RN CWCP association reserves the right to accept, reject or alter all editorial and advertising material submitted LNCC for publication. The content of this publication is for informational purposes only. Neither the Publisher nor THE JOURNAL OF LEGAL AALNC assumes any responsibility for any injury and/or damage to persons or property arising NURSE CONSULTING out of any claim, including but not limited to product liability and/or negligence, arising out of Editor the use, performance or operation of any methods, products, instructions, or ideas contained in Wendie A. Howland, MN, RN-BC, the material herein. The reader shall assume all risks in connection with his/her use of any of the CRRN, CCM, CNLCP, LNCP-C, LNCC information contained in this journal. Neither the Publisher nor AALNC shall be held responsible Editorial Committee For This Issue: for errors, omissions in medical information given nor liable for any special, consequential, Randall Clarke, BSN, RN or exemplary damages resulting, in whole or in part, from any reader’s use of or reliance on Tracy Coles, BSN, RN this material. Lauren Danahy BS RN BA CCM LNCC Cheryl Gatti, BSN RN LNCC CCRN-R The appearance of advertising in the The Journal of Legal Nurse Consulting does not constitute Stormy Green Wan, RN, BSHS, RNFA, a guarantee or endorsement of the quality or value of such product or of the claims made for it CLNC by its manufacturer. The fact that a product, service, or company is advertised in The Journal of James Hanus, BSN, RN, OCN, MHA Legal Nurse Consulting shall not be referred to by the manufacturer in collateral advertising. For Regina Jackson, RN, BS, CCM, LNCC advertising information, contact [email protected] or call 877/402-2562. Elizabeth Murray BSN RN LNCC Ann Peterson EdD, MSN, RN, FNP- Copyright ©2016 by the American Association of Legal Nurse Consultants. All rights reserved. BC, LN For permission to reprint articles or charts from this journal, please send a written request noting Lynn Sayre Visser MSN BS RN CEN CPEN CLN the title of the article, the year of publication, the volume number, and the page number to Deborah S. (Susie) White, BSN, RN, Permissions, Journal of Legal Nurse Consulting, 330 North Wabash Ave., Suite 2000, Chicago, IL LNCC 60611; JLNC@ aalnc.org. Permission to reprint will not be unreasonably withheld. Journal of Legal Nurse Consulting (ISSN 2470-6248) is published digitally by the American Association STAFF of Legal Nurse Consultants, 330 North Wabash Ave., Suite 2000, Chicago, IL 60611, 877/402-2562. Members of the American Association of Legal Nurse Consultants receive a subscription to Journal Executive Director Kristin Dee of Legal Nurse Consulting as a benefit of membership. Subscriptions are available to non-members for $165 per year. Back issues are avaiable for free download for members at the Association website and $40 per copy for non-members subject to availability; prices are subject to change without notice. Back issues more than a year old can be obtained through the Cumulative Index to Nursing & Allied Health Literature (CINAHL). CINAHL’s customer service number is 818/409-8005. Address all subscriptions correspondence to Circulation Department, Journal of Legal Nurse Consulting, 330 North Wabash Ave., Suite 2000, Chicago, IL 60611. Include the old and new address on change requests and allow 6 weeks for the change. | 2 | THE JOURNAL OF LEGAL NURSE CONSULTING ARTICLE SUBMISSION The Journal of Legal Nurse Consulting (JLNC), a refereed publication, is the official journal of the American Association of Legal Nurse Consultants (AALNC). We invite interested nurses and allied professionals to submit article queries or manuscripts that educate and inform our readership about current practice methods, professional development, and the promotion of legal nurse consulting within the medical-legal community. Manuscript submissions are peer-reviewed by professional LNCs with diverse professional backgrounds. The JLNC follows the ethical guidelines of COPE, the Committee on Publication Ethics, which may be reviewed at: http://publicationethics.org/resources/ code-conduct. We particularly encourage first-time authors to submit manuscripts. The editor will provide writing and conceptual assistance as needed. Please follow this checklist for articles submitted for consideration. INSTRUCTIONS FOR TEXT • Manuscript length: 1500 – 4000 words • Use Word© format only (.doc or .docx) • Submit only original manuscript not under consideration by other publications • Put title and page number in a header on each page (using the Header feature in Word) • Place author name, contact information, and article title on a separate title page, so author name can be blinded for peer review • Text: Use APA style (Publication Manual of the American Psychological Association, 6th edition) (https://owl.english.purdue.edu/owl/resource/560/01/) • Legal citations: Use The Bluebook: A Uniform System of Citation (15th ed.), Cambridge, MA: The Harvard Law Review Association • Live links are encouraged. Please include the full URL for each. Be careful that any automatic formatting does not break links and that they are all fully functional. • Note current retrieval date for all online references. • Include a 100-word abstract and keywords on the first page • Submit your article as an email attachment, with document title articlename.doc, e.g., wheelchairs.doc INSTRUCTIONS FOR ART, FIGURES, TABLES, LINKS • All photos, figures, and artwork should be in JPG or PDF format (JPG preferred for photos). Line art should have a minimum resolution of 1000 dpi, halftone art (photos) a minimum of 300 dpi, and combination art (line/tone) a minimum of 500 dpi.